The Association of Sagittal Spinal Posture among Elementary School Pupils with Sex and Grade.

The objective of this research was to analyze and elucidate the sagittal spinal posture status in older elementary school children, considering their gender and grade differences. The study involved 484 school children (252 males and 232 females) from grades V to VIII, assessed for sagittal spinal posture using the Formetric 4D System. The analysis, employing the Chi-squared test of independence along with the Z-test, did not reveal significant grade-related differences (p < 0.52) in the incidence of normal sagittal alignment or diagnosed outliers. However, within grade levels, no significant difference was observed for male participants (p < 0.80), while a significant difference was identified for females (p < 0.01). Examining gender differences across grades, a disparity was noted only among seventh graders concerning normal spine alignment and outlier existence (p < 0.01), favoring male participants. Regardless of the grade, a significant gender difference emerged in the location of diagnosed outliers: kyphosis (M = 108 vs. F = 72), lordosis (M = 5 vs. F = 14), kypholordosis (M = 18 vs. F = 66), and flatback outlier of the lumbar spine (M = 27 vs. F = 11). These findings suggest potential adjustments to the curriculum and highlight the need to tailor physical education instruction based on this study's outcomes. Consequently, these results imply the importance of a differentiated approach in preventing sagittal plane outliers of the spine in adolescent children.

Proprioceptive training methods (PTM) in female soccer players - a systematic review.

BACKGROUND: Although previous studies have reported that proprioceptive training methods (PTM) have positive effects, there is a relatively small number of studies regarding the impact of PTM in women's soccer. Therefore, there is a need to systematize the given results. In this regard, this systematic review aimed to investigate the effect of proprioceptive training methods in female soccer players. METHODS: The studies' search and analysis were done according to the PRISMA guidelines. The following databases were checked (Google Scholar, PubMed Cochrane and ProQuest), with additional publication time criteria (2000-2023) using the following keywords: proprioceptive, balance, neuromuscular, training, exercise, intervention, method, activity, female football players, female soccer players, woman soccer players. RESULTS: A total of 7 studies were included in the quantitative synthesis that meet all the criteria with the number of participants being 2.247. Based on the analysis of the previous research and detailed discussion, the main findings of the study resulted in the partial improvement of explosive strength (66%), strength (50%), muscle imbalance and flexibility (50%) and the prevention and reduction of lower extremity injuries in female soccer players (60%). Only one study reported no significant differences between groups, where rate of major injuries was higher in experimental group. CONCLUSION: The obtained results indicate the necessity to implement proprioceptive training in female soccer training programs, in order to influence the prevention and reduction of injuries and improve balance, proprioceptive ability and body control.

Cardiovascular Fitness in Normal Weight and Obese Children and Adolescents - A Systematic Review of Studies Published After 2000s / Condición Cardiovascular en Niños y Adolescentes con Peso Normal y Obesos: Una Revisión Sistemática de Estudios Publicados Después de la Década del 2000

SUMMARY: The primary aim was to gather available data published after the 2000s, on cardiovascular fitness in normal weight and obese children and adolescents. Based on the data, the secondary aims were to identify the most used outcomes and to determine the differences in cardiovascular fitness in the mentioned populations. Following PRISMA recommendations, multiple databases were searched: Google Scholar, PubMed, Cochrane Library, ProQuest, and Research Gate, with additional inclusion criteria: original study published in English, normal weight and obese children and adolescents as participant sample, studies that have assessed cardiovascular fitness parameters, and studies with participant's nutrition state. A total of 19 studies, with a total of 4,988 included participants (both obese and normal weight) were identified, with the most common participants have presented better results in terms of BMI, BF%, VO2max, VO2peak and METs, while the HR values are inconsistently presented. Despite deficiencies the study deficiency in the last two decades, there are differences in the mentioned populations. Further studies should focus on including the technology that reaches teens and families for overweight and obesity prevention and advancements in standard measurements for juvenile overweight and obesity, as well as for the creation, adaption, and validation of measuring instruments. As good framework for future directions, there is a need for more concise and unified measurements of cardiovascular fitness parameters in normally weight and obese children and adolescents.

El objetivo principal fue recopilar datos disponibles publicados después de la década del 2000 sobre la condición cardiovascular en niños y adolescentes con peso normal y obesos. En base a estos datos, los objetivos secundarios fueron identificar los resultados más utilizados y determinar las diferencias en la condición cardiovascular en las poblaciones mencionadas. Siguiendo las recomendaciones de PRISMA, se realizaron búsquedas en múltiples bases de datos: Google Scholar, PubMed, Cochrane Library, ProQuest y Research Gate, con criterios de inclusión adicionales: estudio original publicado en inglés, niños y adolescentes con peso normal y obesidad como muestra participante, estudios que hayan evaluado enfermedades cardiovasculares, parámetros de condición física y estudios con el estado nutricional de los participantes. Se identificaron un total de 19 estudios, con un total de 4.988 participantes incluidos (tanto obesos como con peso normal), siendo las variables más comunes: IMC, %BF, VO2máx, VO2pico, FC, PAD, PAS y MET. Generalmente, los participantes con peso normal han presentado mejores resultados en términos de IMC, %BF, VO2máx, VO2peak y MET, mientras que los valores de FC se presentan de manera inconsistente. Independientemente de la deficiencia de estudios en las últimas dos décadas, existen diferencias en las poblaciones mencionadas. Estudios futuros deberían centrarse en incluir tecnología que llegue a adolescentes y familias para la prevención del sobrepeso y la obesidad y avances en las mediciones estándar del sobrepeso y la obesidad juvenil, así como para la creación, adaptación y validación de instrumentos de medición. Como buen marco para direcciones futuras, se necesitan mediciones más concisas y unificadas de los parámetros de la condición cardiovascular en niños y adolescentes con peso normal y obesos.

The effects of preventive aerobics mix on body composition in healthy adult women.

The aim of this research was to determine the influence of a 12-week program of aerobics mix on the parameters of body composition in healthy adult women. The research has been performed in a sample of 64 women participants, and it is divided into two groups, an experimental group (E), made of 34 women participants (age 32 ± 1.8 years), and a control one (C), made of 30 women participants (age 33 ± 0.5 years). Their anthropometric and body composition were evaluated using the following respective parameters: body height, body weight, body fat percentage, muscle mass percentage, skinfold-back (KNL), skinfold-upper arm (KNN), skinfold-stomach (KNT), and skinfold-thigh (KNNK). After mix aerobics realization, among the women of the E group, there is a reduction of body mass by -2.5% and waist size by -3.39%, while muscle mass increased by 2.26%. With all skinfolds within the participants of the E group, there is a statistically important gained reduction of p < 0.05 at the final measuring, compared with the initial one (upper arm -21.10%, stomach -14.36%, back -20.58%, and upper leg -13.98%). The reduction of body mass percentage was -10.59%, and that of body mass index was -2.5%. Based on the gained results, it can be concluded that the mix program was efficient in the reduction of the subcutaneous fat tissue and visceral fat and also influential on the increase of muscle mass.

Relationship between Body Composition and Specific Motor Abilities According to Position in Elite Female Soccer Players.

Contemporary top-division soccer is characterized by high-intensity activity throughout the entire match, which also requires high levels of a wide range of the players' functional and motor abilities. Furthermore, motor and functional requirements vary in relation to the players' position on the pitch. In view of the above, the objective of this study was to determine any differences in body composition and specific motor abilities in relation to position. Twenty elite female soccer players (age: 20.90 ± 3.70 years; height: 166.95 ± 5.83 cm; weight: 58.97 ± 7.50 kg; training experience: 9.50 ± 4.11 years) were recruited for the purpose of this study. Based on their position within the team, the players were divided into three groups: defenders (N-7), midfielders (N-6), and forwards (N-7). The instruments used included the InBody770 (for body composition assessment), Optojump and Polar for the assessment of specific motor abilities. The results obtained indicate a strong link between the parameters body composition and specific motor abilities; however, the level of significance varies, as do the variables concerning specific motor abilities and body composition in relation to the players' position on the pitch. In accordance with these results, coaches and others working in the soccer industry should be apprised of the necessity of a tailored approach when it comes to planning the development of specific motor abilities, as well of with the importance of balanced body composition as prerequisites for achieving top results.

Design and Validation of a New Tennis-Specific Reactive Agility Test-A Pilot Study.

Agility is an important ability for tennis players, but there is an evident lack of studies focusing on the applicability of tennis-specific agility tests that capture a combination of the physical and cognitive agility performance. Therefore, the main aim of this study was to design and test measurement properties of the tennis-specific reactive agility test that would be feasible and practical for regular implementation. A total of 32 youth tennis players (21 males and 11 females; 10.85 ± 1.50 years) participated in this study. The measurement characteristics of the newly designed reactive agility tennis-specific (TS-RAN) test have been established by comparing it with two generic agility tests and with two tennis-specific pre-planned agility tests. The overall reliability of the new TS-RAN test can only be considered "moderate to good", as although the results of participants showed good internal consistency, the within-subject reliability of the test proved to be unsatisfactory, since the participants showed a lack of performance consistency. This is not unexpected considering the very young age of the participants who performed the test for the very first time. The new TS-RAN test was highly projected (0.91) on the same single latent dimension, with the variance predominately explained by the tennis-specific agility tests. The test's greatest strength is its high feasibility, since the test does not require any special set-up nor technical equipment, and that makes it practical for regular implementation in a practical setting. Further research studies are needed in order to confirm the test's potential to be widely accepted and used.

Segmental composition of the porcine iliopsoas muscle and influence of the body size and posture on the composition of the iliopsoas muscle.

The iliopsoas muscle (IPM) of the pig consists of the iliacus muscle (IM) and the psoas major muscle (PMM). Due to the differences in posture and size between animal species, the musculoskeletal system is subjected to different functional demands, which affects the morphological characteristics of the musculoskeletal system. The aim of this study was to determine the muscle fiber type composition in pigs IPM, as pigs are large quadrupeds that differ in body size and posture from humans and small mammals, and to determine the influence of body size and posture on the composition of IPM. Muscle samples were collected from the Pietrain Landrace pigs, a sample from IM and a samples at four segments of the PMM. Samples were analyzed with monoclonal antibodies specific for different isoforms of the myosin heavy chain. The percentages and cross-sectional area (CSA) of type I, IIA, and IIX/IIB muscle fibers were calculated. Our studies revealed that in pigs IPM, type IIX/IIB muscle fibers were predominant with the largest CSA. A decrease in the proportion of type IIX/IIB muscle fibers, an increase in type I and IIA muscle fibers, and a decrease in the CSA of all muscle fiber types from the cranial to the caudal part of the PMM were observed. The pig IPM has primarily a dynamic function. The function of the PMM in the cranio-caudal direction changes from a dynamic to a static role. Body size and posture influence the composition of the IPM.

Psychometric Characteristics of the Croatian Version of the Zarit Burden Interview Questionnaire Among Informal Caregivers of Long-Term Mechanically Ventilated Patients.

BACKGROUND: The aim is to evaluate the reliability and validity of the Croatian version of the Zarit Caregiver Burden Interview (ZBI) among the population of informal caregivers of long-term mechanically ventilated patients. SUBJECTS AND METHODS: After a preliminary analysis, 25 participants were selected by using strictly defined criteria and they were asked to complete the Croatian version of the ZBI. The test - retest method was used for reliability assessment while an exploratory strategy of factor analysis was used to identify real-life existent subscales. RESULTS: After reliability and validity assessment, 3 items were removed from the original ZBI so that the Croatian version of the ZBI consists of 19 items. Internal consistency, observed through Cronbach's alpha for extracted subscales and for the whole questionnaire, were identified as high ranged from 0.875 to 0.922. Furthermore, exploratory factor analysis using Guttman-Kaiser criterion identified the 6 subscales for the ZBI. CONCLUSIONS: Due to the fact that approximately 30 % of targeted population was included in the study, the Croatian version of the ZBI can be accepted as a reliable and valid tool for measuring burden among informal caregivers of long-term mechanically ventilated patients. Family caregiver's burden level assessment can be crucial to enhance outcomes associated with future caregiving.

Fluid balance and hydration status in combat sport Olympic athletes: a systematic review with meta-analysis of controlled and uncontrolled studies.

PURPOSE: Athletes in Olympic combat sports experience body water fluctuations resulting from training and intentional dehydration when making weight. Despite the popularity of urine specific gravity (USG) and urine osmolality (UOSM) measurement in characterizing fluid fluctuations, their utility remains questioned. This systematic review/meta-analysis examined the utility of urinary hydration indices in laboratory and field settings in Olympic combat sport athletes. METHODS: 27 articles met the inclusion criteria for systematic review, 15 studies were included in the meta-analysis; with USG and UOSM the main outcome variables. Meta-regression analyses evaluated the interrelationship among body mass (BM), fluid intake, and urine measures. RESULTS: Significant USG alterations were observed following different sampling time frames: dehydration (ES 0.59; 95% CI 0.46-0.72; p = 0.001), follow-up period (ES 0.31; 95% CI 0.11-0.50; p = 0.002) and rehydration (ES - 0.34; 95% CI - 0.56 to - 0.12; p = 0.003). Direct comparison of laboratory (ES 0.20; 95% CI - 0.19 to 0.59; p = 0.324) and field (ES 0.35; 95% CI 0.14-0.56; p = 0.001) sampling showed marginally trivial and small effects. Small effects on UOSM were observed following dehydration (ES 0.31; 95% CI 0.12-0.74, p = 0.15), follow-up period (ES 0.39; 95% CI 0.08-0.70, p = 0.015) and rehydration (ES - 0.45; 95% CI - 0.60 to 0.30, p = 0.001). Meta-regression analysis suggests only fluid intake predicts USG alterations (p = 0.044) during rehydration protocols. CONCLUSIONS: There were likely small changes in both USG and UOSM readings across all experimental conditions, with moderate-to-large heterogeneity in all studies, except for USG readings during dehydration protocols. The meta-regression failed to provide conclusive evidence concerning the interrelationship among urine measures, BM fluctuations, and fluid intake.

Relative age effect and second-tiers: No second chance for later-born players.

The main objective of this research was to determine the existence of relative age effect (RAE) in five European soccer leagues and their second-tier competitions. Even though RAE is a well-known phenomenon in professional sports environments it seems that the effect does not decline over the years. Moreover, additional information is required, especially when taking into account second-tier leagues. Birthdates from 1,332 first-tier domestic players from France, England, Spain, Germany and Italy and birthdates from 1,992 second-tier domestic players for the 2014/2015 season were taken for statistical analysis. In addition to standard statistical tests, the data were analyzed using econometric techniques for count data using Poisson and negative binomial regressions. The results obtained confirmed a biased distribution of birthdates in favor of players born earlier in the calendar year. For all of the five first-tier soccer leagues there was an unequal distribution of birthdates (France χ2 = 40.976, P<0.001; England χ2 = 21.892, P = 0.025; Spain χ2 = 24.690, P = 0.010; Germany χ2 = 22.889, P = 0.018; Italy χ2 = 28.583, P = 0.003). The results for second-tier leagues were similar (France χ2 = 46.741, P<0.001; England χ2 = 27.301, P = 0.004; Spain χ2 = 49.745, P<0.001; Germany χ2 = 30.633, P = 0.001; Italy χ2 = 36.973, P<0.001). Econometric techniques achieved similar results: estimated effect of month of birth, i.e., long-term RAE on players' representativeness, is negative (statistically significant at the 1% level). On average, one month closer to the end of the year reduces the logs of expected counts of players by 6.9%. Assuming this effect as linear, being born in the month immediately before the cut-off date (i.e., December/August), reduces the logs of expected counts of players by approximately 75.9%. Further, ID (index of discrimination, that is, the ratio between the expected counts of players born in the middle of the first and the twelfth month of the selection year) is 2.13 and 2.22 for the first- and second-tier, respectively. In other words, in the top five European first-tier and second-tier leagues, one should expect the number of players born in the first month of the calendar year to be twice the number of those born in the last month. The RAE in the second-tiers is the same as in the first-tiers, so it appears that there is no second chance for later born players. This reduces the chances to recover talented players discarded in youth simply because of lower maturity.

Urine specific gravity as an indicator of dehydration in Olympic combat sport athletes; considerations for research and practice.

Urine specific gravity (USG) is the most commonly reported biochemical marker used in research and applied settings to detect fluid deficits in athletes, including those participating in combat sports. Despite the popularity of its use, there has been a growing debate regarding the diagnostic accuracy and the applicability of USG in characterizing whole-body fluid status and fluctuations. Moreover, recent investigations report universally high prevalence of hypohydration (∼90%) via USG assessment in combat sport athletes, often in spite of stable body-mass. Given the widespread use in both research and practice, and its use in a regulatory sense as a 'hydration test' in combat sports as a means to detect dehydration at the time of weigh-in; understanding the limitations and applicability of USG assessment is of paramount importance. Inconsistencies in findings of USG readings, possibly as a consequence of diverse methodological research approaches and/or overlooked confounding factors, preclude a conclusive position stand within current combat sports research and practice. Thus the primary aim of this paper is to critically review the literature regarding USG assessment of hydration status in combat sports research and practice. When taken on balance, the existing literature suggests: the use of laboratory derived benchmarks in applied settings, inconsistent sampling methodologies, the incomplete picture of how various confounding factors affect end-point readings, and the still poorly understood potential of renal adaptation to dehydration in combat athletes; make the utility of hydration assessment via USG measurement quite problematic, particularly when diet and training is not controlled.

Intra and Interzone Differences of Attack and Counterattack Efficiency in Elite Male Volleyball.

The primary goal of this study was to identify and explain differences in a volleyball set between winning and defeated teams, based on frequency and efficiency of the attack and counterattack, both overall and from particular zones of the volleyball court. Research was conducted on a randomly chosen sample of 206 sets played in 55 matches of the Men's Champions League. A total of 10555 spikes in the attack and counterattack from various zones of the volleyball court were analyzed. Between-subjects 2×5 factorial ANOVA (Outcome×Zone) was used to identify significant differences between the set outcome and zones or their interaction for both attack and counterattack efficiency. Significant differences were found in the efficiency of spikes in attacks and counterattacks from various zones of the volleyball court and between winning and losing teams. Post-hoc analysis of interaction effects also revealed significant differences. The obtained results substantiate the importance of spiking, both in the attack and counterattack, for winning a volleyball set, and indicate the specific values of spiking in the attack and counterattack from various zones, for both winning and defeated teams. The results of this study can be useful for coaches, in evaluation of player's performance in the match, in planning and programming the training process as well as in the technical and tactical preparation of the team for the tournament.

Sex-specific differences in risk factors for in-hospital mortality and complications in patients with acute coronary syndromes : An observational cohort study.

BACKGROUND: The goal of this observational cohort study was to examine gender-specific differences in the incidence of acute coronary syndrome (ACS), in-hospital complications and mortality. METHODS: A cohort of 1550 patients with the primary diagnosis of ACS were enrolled in the study over a period of 4 years. The in-hospital mortality and complications were analyzed as the main outcome measures. RESULTS: Women were significantly older compared to men (71 ± 11 years vs. 64 ± 12 years, p < 0.001) and had higher in-hospital mortality and complications due to this age difference. The prevalence of smoking was lower while hypertension and history of angina pectoris was more frequent in women, independent of age. Percutaneous transluminal coronary angioplasty (PTCA) with or without stenting as well as coronary catheterization significantly reduced in-hospital mortality and complications while thrombolytic therapy was associated with a 3.3 times increased mortality odds ratio (OR, p = 0.01). Other significant predictors of in-hospital mortality were in-hospital complications (OR 25, p < 0.001) and ST segment elevation myocardial infarction (STEMI, OR 4.5, p < 0.001). CONCLUSIONS: Women differed from men in terms of ACS clinical characteristics, treatment, invasive procedures and survival outcome and some of these effects were age-related. The future emphasis should be based on the prevention of modifiable risk factors and identification of subgroups of female patients that could benefit from more aggressive therapeutic strategies.

Effects of Unilateral Muscle Fatigue on Performance and Force Coordination in Bimanual Manipulation Tasks.

We examined the effects of unilateral muscle fatigue on the performance and coordination of grip (GF; normal component acting between the hand and object) and load force (LF; tangential component) in bimanual manipulation tasks, as well as the associated lateral differences. Eleven participants performed various symmetric bimanual tasks either without fatigue, or after fatiguing the GF producing muscles of either the nondominant or dominant hand. The GF/LF ratio of the fatigued and nonfatigued hand decreased and increased, respectively, while the neither the effects of fatigue on the task performance and GF-LF coordination, nor the lateral differences were revealed. The lack of the fatigue associated effects on most of the tested variables typically observed from unimanual tasks could be explained by bimanual assimilation. The findings also suggest that in daily life switching to bimanual tasks when one hand becomes fatigued could be beneficial regarding preserving the high level of both the manipulation performance and force coordination.

Hyperbaric environment up-regulates CD15s expression on leukocytes, down-regulates CD77 expression on renal cells and up-regulates CD34 expression on pulmonary and cardiac cells in rat.

OBJECTIVES: The aim of this study was to estimate effects of hyperbaric (HB) treatment by determination of CD15s and CD11b leukocyte proinflammatory markers expression. In addition, this study describes changes in CD77 and CD34 expression on rat endothelial cells in renal, pulmonary and cardiac tissue following exposure to hyperbaric pressure. MATERIALS AND METHODS: Expression of CD11b and CD15s on leukocytes, as well as CD77 and CD34 expression on endothelial cells in cell suspensions of renal, pulmonary and cardiac tissue in rats after hyperbaric treatment and in control rats were determined by flow cytometry. RESULTS: Hyperbaric treatment significantly increased percentage of leukocytes expressing CD15s+CD11b- (from 1.71±1.11 to 23.42±2.85, P<0.05). Hyperbaric treatment significantly decreased sum percentage of CD77+CD34- and CD77+CD34+ renal cells (from 16.35±5.5 to 4.48 ±1.28, P<0.05). Hyperbaric treatment significantly increased percentage of CD34+ pulmonary cells (from 3.27±2.01 to 11.92±6.22, P<0.05). Our study is the first reporting the hyperbaric environment influence on CD34+ heart cells in rats. CONCLUSION: The current findings of increased percentage of leukocytes expressing endothelial selectin ligand CD15s after hyperbaric treatment, point its role in endothelial damage prevention. We found out a significantly increase in percentage of CD34+ cardiac cells as well as CD34+ pulmonary cells in rats after HB treatment which could be a part of repair mechanism of injured endothelium caused by hyperoxia.

Morphological and motor characteristics of Croatian first league female football players.

The aim of this study was to determine the structure of morphological and motor characteristics of Croatian first league female football players and their impact on the estimated quality of the players. According to the goal of the research, a sample consisted of 70 Croatian first league female football players. Participants were measured in 18 tests for assessing morphological characteristics, a set of 12 basic motor abilities tests and a set of 7 tests for assessing football-specific motor abilities. Exploratory factor analysis strategy was applied separately to all measured tests: morphological, basic motor abilities and football specific motor abilities. Factor analysis of morphological tests has shown existence of 3 significant latent dimensions that explain 64% of the total variability. Factors are defined as transverse dimensionality of the skeleton and voluminosity (35%), subcutaneous fat tissue (16%) and longitudinal dimensionality of the skeleton (13%). In the area of basic motor abilities, four factors were extracted. The first factor is responsible for the integration of agility and explosive power of legs, i.e. a factor of movement regulation (agility/lower body explosiveness) (23%), the second one defines muscle tone regulation (15%), the third one defines the frequency of leg movements (12%), while the fourth one is recognized as responsible for the manifestation of basic strength, particularly of basic core strength (19%). Two factors were isolated in the space of football-specific motor abilities: football-specific efficiency (53%) and situational football coordination (27%). Furthermore, by use of factor analysis on extracted latent dimensions (morphological, basic and football specific motor abilities) two higher order factors (explaining 87% of common variability) were extracted. They were named morphological-motor factor (54%) and football-specific motor abilities factor (33%). It is assumed that two extracted higher-order factors fully describe morphological and motor status of first league female football players. Furthermore, the linear regression results in latent space showed that the identified factors are very good predictors of female football players quality (delta = 0.959). In doing so, both specific motor abilities factors and the first factor of basic motor abilities as a factor of general motor efficiency have the greatest impact on player quality, and these factors have been identified as most important predictors of player quality in Croatian women's first league and elite female football players in general. Obtained results provide deep insight into the structure of relations between the morphological, motor and specific motor variables and also indicate the importance of such definition of specific motor abilities. Consequently, results explicitly indicate the necessity of early, continuous, and systematic development of football-specific motor abilities in female football players of high competitive level but also, adjusted, to the younger age categories.